SUSELY GUEVARA FNP-BC
NPI 1962049452
Nurse Practitioner - Family in Chicago, IL
About Susely Guevara Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSELY GUEVARA FNP-BC (NPI 1962049452) is an individual family provider in Chicago, Illinois, licensed in Illinois (209.020134) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, is affiliated with University Of Illinois Hospital And Clinics, and maintains a secondary practice location in Chicago.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Susely Guevara Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Susely Guevara reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chicago, IL 60647
- Reassigned Medicare billing, Illinois enrollment
- 18 clinicians in this Medicare group
Chicago, IL 60608
- Reassigned Medicare billing, Illinois enrollment
- 113 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Illinois Hospital And Clinics
Acute Care Hospitals · Chicago, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60647 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Susely Guevara's NPI number?
The NPI number for Susely Guevara is 1962049452. It was assigned to this individual provider in the NPPES registry on December 4, 2019.
Where is Susely Guevara located?
Susely Guevara practices at 3600 W Fullerton Ave, Chicago, IL 60647. The listed phone number is (773) 782-2800.
What is Susely Guevara's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Susely Guevara enrolled in Medicare?
Yes. Susely Guevara is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Susely Guevara's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susely Guevara reassigns Medicare benefits to 2 organizations: Infant Welfare Society Of Chicago (Chicago, IL) and The Board Of Trustees Of The University Of Illinois (Chicago, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susely Guevara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Susely Guevara affiliated with any hospitals?
According to CMS data, Susely Guevara is affiliated with University Of Illinois Hospital And Clinics.
When was this NPI record last updated?
The NPPES record for Susely Guevara was last updated on September 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Susely Guevara, FNP-BC · NPI 1962049452
Family physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since December 4, 2019.
## Identity
- **NPI:** 1962049452 (Entity type: Individual)
- **Enumerated:** December 4, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209.020134 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3600 W FULLERTON AVE, Chicago, IL 60647-2319
- **Phone:** (773) 782-2800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Infant Welfare Society Of Chicago (NPI 1497872543, Chicago, IL); The Board Of Trustees Of The University Of Illinois (NPI 1669493466, Chicago, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** September 29, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1962049452) · Data from the CMS NPPES public registry.